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Is the Ross procedure as good as we thought it would be?

Published online by Cambridge University Press:  13 October 2006

Bradley S. Marino ,
Sara Pasquali ,
Thomas L. Spray  and
Gil Wernovsky
Bradley S. Marino
Affiliation:
Division of Cardiology, The Children's Hospital of Philadelphia, Pennsylvania, United States of America Division of Critical Care Medicine, The Children's Hospital of Philadelphia, Pennsylvania, United States of America
Sara Pasquali
Affiliation:
Division of Cardiology, The Children's Hospital of Philadelphia, Pennsylvania, United States of America Division of Critical Care Medicine, The Children's Hospital of Philadelphia, Pennsylvania, United States of America
Thomas L. Spray
Affiliation:
Division of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Pennsylvania, United States of America
Gil Wernovsky
Affiliation:
Division of Cardiology, The Children's Hospital of Philadelphia, Pennsylvania, United States of America Division of Critical Care Medicine, The Children's Hospital of Philadelphia, Pennsylvania, United States of America
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Abstract

For patients requiring intervention because of progressive disease of the aortic valve, the perfect palliation will provide a valve that produces normal dynamics of flow, will not require anti-coagulation, will grow with the patient, and have long term durability. Current surgical interventions include aortic valvoplasty, or replacement with either a mechanical or tissue prosthesis. Options for tissue valves include insertion of a pulmonary autograft in the Ross procedure, a cadaveric homograft, or porcine or bovine xenograft valves. The optimal option is still debated.

Keywords

Valve surgerycongenital cardiac diseasepulmonary autograftaortic valvoplasty
Type
Long-term Outcomes
Information
Cardiology in the Young , Volume 16 , Supplement S3: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients , September 2006 , pp. 125 - 130
Copyright
© 2006 Cambridge University Press

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